Understanding Medicare Special Needs Plans in Madison County, Missouri
For 2025, residents of Madison County, MO can choose from 16 Special Needs Plan options. Of these, 9 cost nothing beyond the Part B premium. Enrollment in the County is about 486, with 38% of SNPs achieving 4 stars or better. SNPs are not available to everyone — eligibility is limited to people with dual Medicare/Medicaid coverage, qualifying chronic conditions, or institutional care needs.
Last update: . Enrollment data last updated: August 18, 2025
* CMS rates Medicare Advantage plans annually using a 5-star system. Data sources
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are designed for people who qualify for both Medicare and Medicaid. These plans coordinate benefits to reduce costs and provide access to additional support services.
- Total D-SNP Plans
- 10
- Average Premium
- $10.34/mo
- Beneficiaries Enrolled
- 372
- $0 Premium D-SNPs
- 7
- Average MOOP
- $7,685
- Most Popular D-SNP
- UHC Dual Complete MO-S3 (D-SNP) with 93 enrollees
- D-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network |
|---|---|---|---|
| Aetna Medicare Assure | $0 | HMO D-SNP | |
| UHC Dual Complete MO-S001 | $0 | HMO-POS D-SNP | |
| UHC Dual Complete MO-S002 | $0 | PPO D-SNP | |
| UHC Dual Complete MO-S3 | $0 | HMO-POS D-SNP | |
| UHC Dual Complete MO-V001 | $51 | HMO-POS D-SNP | |
| Anthem Dual Advantage | $13 | HMO D-SNP | |
| Anthem Full Dual Advantage | $0 | HMO D-SNP | |
| Anthem Full Dual Advantage 2 | $0 | HMO D-SNP | |
| Humana Dual Select H0028-068 | $39 | HMO-POS D-SNP | |
| Humana Gold Plus SNP-DE H0028-015 | $0 | HMO-POS D-SNP |
- What is the average premium for D-SNP plans in Madison County?
- On average, D-SNP plans in Madison County cost $10.34 per month.
- Which D-SNP is the most popular in Madison County?
- The leading D-SNP in Madison County is UHC Dual Complete MO-S3 (D-SNP), with 93 members.
- How many D-SNP plans are available in Madison County?
- In 2025, Madison County offers 10 D-SNPs with 372 enrollees.
Institutional Special Needs Plans (I-SNPs)
These plans cater to individuals residing in long-term care facilities, such as nursing homes, or those requiring extended skilled nursing facility care at home. The CMS website provides more information about I-SNPs and their coverage details.
| Plan Name | CMS Stars* | Premium/Mo | Network |
|---|---|---|---|
| Provider Partners Missouri Advantage Plan | $51 | HMO I-SNP | |
| Provider Partners Missouri Community Plan | $0 | HMO I-SNP | |
| Provider Partners Missouri Essential Plan | $37 | HMO I-SNP |
What is the average premium for I-SNP plans in Madison County?
On average, I-SNP plans in Madison County cost $29.40 per month.
Which I-SNP is the most popular in Madison County?
The leading I-SNP in Madison County is Provider Partners Missouri Advantage Plan (I-SNP), with 27 members.
How many I-SNP plans are available in Madison County?
In 2025, Madison County offers 3 I-SNPs with 27 enrollees.
Chronic Condition Special Needs Plans (C-SNPs)
These plans are designed for individuals with severe or disabling chronic conditions. C-SNPs excel at coordinating your care among different medical specialists and often include extra benefits like prescription drug plans.
- Total C-SNP Plans
- 3
- Average Premium
- $22.87/mo
- Beneficiaries Enrolled
- 87
- $0 Premium C-SNPs
- 1
- Average MOOP
- $6,817
- Most Popular C-SNP
- UHC Complete Care MO-1 (C-SNP) with 74 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network |
|---|---|---|---|
| UHC Complete Care MO-1 | $0 | PPO C-SNP | |
| UHC Complete Care AM-1 | $43 | Regional PPO C-SNP | |
| UHC Complete Care Support AM-1A | $26 | Regional PPO C-SNP |
What is the total number of C-SNP options in Madison County?
There are 3 C-SNP plans in 2025, covering 87 beneficiaries.
How much do C-SNP plans cost on average in Madison County?
The average C-SNP premium is $22.87, with 1 costing $0.
What C-SNP plan has the highest enrollment in Madison County?
UHC Complete Care MO-1 (C-SNP) is the most popular C-SNP in Madison County, with 74 enrollees.
What is the total number of C-SNP options in Madison County?
There are 3 C-SNP plans in 2025, covering 87 beneficiaries.
Medicare Advantage Special Needs Plan enrollment follows specific timelines. Understanding these options—whether it’s your first time enrolling or switching plans—helps you choose coverage that matches your health and budget.
When You Can Sign Up
- Initial Enrollment Period (IEP): Lasting seven months around your 65th birthday, this period lets you enroll in Medicare for the first time. You may also choose a Medicare Advantage plan during this time. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Each year from January 1 through March 31, you may change to another Medicare Advantage plan or drop your plan and return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): This yearly window, running October 15 to December 7, gives you the opportunity to join, switch, or drop Medicare Advantage and Part D plans. Learn more
- Special Enrollment Periods (SEPs): Outside the standard enrollment dates, you may qualify for a Special Enrollment Period if specific circumstances apply, including relocation or coverage loss. Learn more
SNP Enrollment Options Explained
- Talk with a Licensed Agent: Licensed agents at HealthCompare can explain your Medicare Advantage choices. Reach them at 1-833-748-3201 (TTY 711), Monday–Friday 5am–6pm and Saturday 6am–5pm PST.
- Contact the Plan Provider Directly: Enrollment can also be completed by calling the plan provider’s customer service line or visiting their official website.
- Use Medicare.gov: The official Medicare website, Medicare.gov, lets you review available plans and complete enrollment online.
The D-SNP, C-SNP, and I-SNP plans listed on this page are available to qualifying individuals enrolled in Medicare Part A and Part B living in Fredericktown, Marquand, and all other areas of Madison County, Missouri.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
CMS Plan IDs Presented
The Medicare Special Needs Plan pages listed in the tables above include localization to assist beneficiaries with plans available in their service area. However, most Part C plans are available in more than one service area, which can lead to confusion. The following list of CMS IDs links to our master plan pages without localization.
- CMS.gov, Landscape Source Files — Last accessed October 15, 2024
- CMS.gov, Medicare Part C & D Performance — Last accessed October 15, 2024
- CMS.gov, Plan Benefits Package — Last accessed October 15, 2024
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content managed by David Bynon, Medicare Analyst.